Progressive universalism? The impact of targeted coverage on health care access and expenditures in Peru.

Abstract:

:Like other countries seeking a progressive path to universalism, Peru has attempted to reduce inequalities in access to health care by granting the poor entitlement to tax-financed basic care without charge. We identify the impact of this policy by comparing the target population's change in health care utilization with that of poor adults already covered through employment-based insurance. There are positive effects on receipt of ambulatory care and medication that are largest among the elderly and the poorest. The probability of getting formal health care when sick is increased by almost two fifths, but the likelihood of being unable to afford treatment is reduced by more than a quarter. Consistent with the shallow coverage offered, there is no impact on use of inpatient care. Neither is there any effect on average out-of-pocket health care expenditure, but medical spending is reduced by up to 25% in the top quarter of the distribution. Copyright © 2017 John Wiley & Sons, Ltd.

journal_name

Health Econ

journal_title

Health economics

authors

Neelsen S,O'Donnell O

doi

10.1002/hec.3492

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

e179-e203

issue

12

eissn

1057-9230

issn

1099-1050

journal_volume

26

pub_type

杂志文章
  • Pure, White and Deadly… Expensive: A Bitter Sweetness in Health Care Expenditure.

    abstract::This paper analyses the impact of sugar availability/intake on diabetes expenditure and on total health care expenditure. Building this macroeconomic analysis upon the literature on the determinants of health care expenditure, we estimate a dynamic panel data model over a sample of 156 countries for the period 1995-20...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3462

    authors: Castro V

    更新日期:2017-12-01 00:00:00

  • A note on the decomposition of the health concentration index.

    abstract::In recent work, the concentration index has been widely used as a measure of income-related health inequality. The purpose of this note is to illustrate two different methods for decomposing the overall health concentration index using data collected from a Short Form (SF-36) survey of the general Australian populatio...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.767

    authors: Clarke PM,Gerdtham UG,Connelly LB

    更新日期:2003-06-01 00:00:00

  • Informal and formal care among single-living elderly in Europe.

    abstract::The aims of this study were to analyse (1) whether informal care, provided by children or grandchildren to their elderly parents, and formal care are substitutes or complements, and (2) whether this relationship differs across Europe. The analyses were based on cross-sectional data from the newly developed SHARE (Surv...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1275

    authors: Bolin K,Lindgren B,Lundborg P

    更新日期:2008-03-01 00:00:00

  • How price responsive is the demand for specialty care?

    abstract:OBJECTIVES:Outpatient visit co-payments have increased in recent years. We estimate the patient response to a price change for specialty care, based on a co-payment increase from $15 to $50 per visit for veterans with hypertension. DESIGN, SETTING, AND PATIENTS:A retrospective cohort of veterans required to pay co-pay...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1759

    authors: Maciejewski ML,Liu CF,Kavee AL,Olsen MK

    更新日期:2012-08-01 00:00:00

  • Future projection of the health and functional status of older people in Japan: A multistate transition microsimulation model with repeated cross-sectional data.

    abstract::Accurate future projections of population health are imperative to plan for the future healthcare needs of a rapidly aging population. Multistate-transition microsimulation models, such as the U.S. Future Elderly Model, address this need but require high-quality panel data for calibration. We develop an alternative me...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3986

    authors: Kasajima M,Hashimoto H,Suen SC,Chen B,Jalal H,Eggleston K,Bhattacharya J

    更新日期:2020-07-14 00:00:00

  • A short note on economic development and socioeconomic inequality in female body weight.

    abstract::The origin of the obesity epidemic in developing countries is still poorly understood. It has been prominently argued that economic development provides a natural interpretation of the growth in obesity. This paper tests the main aggregated predictions of the theoretical framework to analyze obesity. Average body weig...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2968

    authors: Deuchert E,Cabus S,Tafreschi D

    更新日期:2014-07-01 00:00:00

  • Risk perception, prevention and diagnostic tests.

    abstract::The objective of this paper is to study the impact of risk perception and diagnostic information on medical prevention decisions. The intertemporal preferences of individuals are represented by a model of recursive rank dependent utility, which has the advantage of allowing risk perceptions to vary over time and with ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1822

    authors: Etner J,Jeleva M

    更新日期:2013-02-01 00:00:00

  • Accuracy of patient recall for self-reported doctor visits: Is shorter recall better?

    abstract::In health economics, the use of patient recall of health care utilisation information is common, including in national health surveys. However, the types and magnitude of measurement error that relate to different recall periods are not well understood. This study assessed the accuracy of recalled doctor visits over 2...

    journal_title:Health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/hec.3794

    authors: Dalziel K,Li J,Scott A,Clarke P

    更新日期:2018-11-01 00:00:00

  • Dealing With Missing Behavioral Endpoints in Health Promotion Research by Modeling Cognitive Parameters in Cost-Effectiveness Analyses of Behavioral Interventions: A Validation Study.

    abstract::Cost-effectiveness analyses (CEAs) of behavioral interventions typically use physical outcome criteria. However, any progress in cognitive antecedents of behavior change may be seen as a beneficial outcome of an intervention. The aim of this study is to explore the feasibility and validity of incorporating cognitive p...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3119

    authors: Prenger R,Pieterse ME,Braakman-Jansen LM,Feenstra TL,Smit ES,Hoving C,de Vries H,van Ommeren JK,Evers SM,van der Palen J

    更新日期:2016-01-01 00:00:00

  • Why are pharmacy acquisition costs and consumer prescription drug price indices apparently diverging?

    abstract::Pharmacy acquisition costs for prescription (Rx ) drugs have been trending below levels implied by the Bureau of Labor Statistics' (BLS) Consumer Price Index for Rx drugs, with the divergence higher when generic approvals are high. Dropping the first 6 months of generic sales from price indices calculated from pharmac...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4165

    authors: Wolff C,Lutter R

    更新日期:2020-12-01 00:00:00

  • Re-examining the effects of public health insurance: The case of nonpoor children in Vietnam.

    abstract::This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing differ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3980

    authors: Nguyen MT

    更新日期:2020-03-01 00:00:00

  • Expansion in markets with decreasing demand-for-profits in the German hospital industry.

    abstract::Over the last 20 years, acute-care hospitals in most OECD countries have built up costly overcapacities. From the perspective of economic policy, it is desirable to know how hospitals of different ownership forms respond to changes in demand and are probably best suited to deal with existing overcapacities. This artic...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1624

    authors: Schwierz C

    更新日期:2011-06-01 00:00:00

  • Uncertainty and validation of health economic decision models.

    abstract::Health economic decision models are based on specific assumptions relating to model structure and parameter estimation. Validation of these models is recommended as an indicator of reliability, but is not commonly reported. Furthermore, models derived from different data and employing different assumptions may produce...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1444

    authors: Kim LG,Thompson SG

    更新日期:2010-01-01 00:00:00

  • Gender differences in alcohol demand: a systematic review of the role of prices and taxes.

    abstract::Gender differences in drinking patterns are potentially important for public policies, especially policies that rely extensively on higher alcohol taxes and prices. This paper presents a systematic review of alcohol prices and gender differences in drinking and heavy drinking by adults and young adults. Starting with ...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/hec.2974

    authors: Nelson JP

    更新日期:2014-10-01 00:00:00

  • Rational centre selection for RCTs with a parallel economic evaluation--the next step towards increased generalisability?

    abstract::The paper discusses the impact of centre selection on the generalisability of randomised controlled trial (RCT)-based economic evaluations and suggests a future research agenda. The first section briefly reviews the current methods for addressing generalisability. We argue that these methods make no verifiable assumpt...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3039

    authors: Gheorghe A,Roberts T,Pinkney TD,Morton DG,Calvert M

    更新日期:2015-04-01 00:00:00

  • Child protection and adult depression: evaluating the long-term consequences of evacuating children to foster care during World War II.

    abstract::This paper combined data collected from war time government records with survey data including background characteristics, such as factors that affected eligibility, to examine the adult depression outcomes of individuals who were evacuated from Finland to temporary foster care in Sweden during World War II. Using war...

    journal_title:Health economics

    pub_type: 历史文章,杂志文章

    doi:10.1002/hec.2913

    authors: Santavirta N,Santavirta T

    更新日期:2014-03-01 00:00:00

  • The effect of health care expenditure on patient outcomes: Evidence from English neonatal care.

    abstract::The relationship between health care expenditure and health outcomes has been the subject of recent academic inquiry in order to inform cost-effectiveness thresholds for health technology assessment agencies. Previous studies in public health systems have relied upon data aggregated at the national or regional level; ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3503

    authors: Watson S,Arulampalam W,Petrou S,NESCOP.

    更新日期:2017-12-01 00:00:00

  • Effects of drought on infant mortality in China.

    abstract::This study focuses on Guizhou Province, a region with difficult geographical conditions and poor economic development, to examine the effect of rainfall shocks on contemporaneous infant health and long-run socioeconomic outcomes in China. The study results indicate that negative rainfall shocks are robustly correlated...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.4191

    authors: Lin Y,Liu F,Xu P

    更新日期:2021-02-01 00:00:00

  • Physician response to pay-for-performance: evidence from a natural experiment.

    abstract::This study exploits a natural experiment in the province of Ontario, Canada, to identify the impact of pay-for-performance (P4P) incentives on the provision of targeted primary care services and whether physicians' responses differ by age, size of patient population, and baseline compliance level. We use administrativ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.2971

    authors: Li J,Hurley J,DeCicca P,Buckley G

    更新日期:2014-08-01 00:00:00

  • Has the Swap Influenced Aid Flows in the Health Sector?

    abstract::The sector wide approach (SWAp) emerged during the 1990s as a mechanism for managing aid from the multiplicity of development partners that operate in the recipient country's health, education or agricultural sectors. Health SWAps aim to give increased control to recipient governments, allowing greater domestic influe...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3170

    authors: Sweeney R,Mortimer D

    更新日期:2016-05-01 00:00:00

  • The Impact of Hospital Acquisition of Physician Practices on Referral Patterns.

    abstract::Multiple parties influence the choice of facility for hospital-based inpatient and outpatient services. The patient is the central figure, but their choice of facility is guided by their physician and influenced by hospital characteristics. This study estimated changes in referral patterns for inpatient admissions and...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3160

    authors: Carlin CS,Feldman R,Dowd B

    更新日期:2016-04-01 00:00:00

  • The usefulness of average cost-effective ratios.

    abstract::We demonstrate that average cost-effectiveness ratios (CERs) play an important role in the evaluation of the cost-effectiveness of treatments. Criticisms of the usefulness of CERs derive mostly from the context of resource allocation under a constrained budget in which some decisions are based on incremental CERs. How...

    journal_title:Health economics

    pub_type: 评论,杂志文章

    doi:10.1002/(sici)1099-1050(199709)6:5<497::aid-hec298

    authors: Laska EM,Meisner M,Siegel C

    更新日期:1997-09-01 00:00:00

  • Cost savings in mass population screening for colorectal cancer resulting from the early detection and excision of adenomas.

    abstract::The widely-accepted hypothesis of a development sequence from colorectal adenoma to carcinoma is felt by clinicians to legitimate adenoma excision during routine colonoscopic investigation. Using published data on adenoma development, and adenoma prevalence data derived from the Nottingham colorectal cancer screening ...

    journal_title:Health economics

    pub_type: 临床试验,杂志文章

    doi:10.1002/hec.4730010108

    authors: Whynes DK,Walker AR,Hardcastle JD

    更新日期:1992-04-01 00:00:00

  • Rationing and competition in the Dutch health-care system.

    abstract::In this paper we examine the goals and effects of health-care policy in the Netherlands over the period 1980--2000. During this period Dutch health-care policy is marked by a peculiar combination of increasingly stringent cost-containment policies alongside a persistent pursuit of market-oriented reforms. The main goa...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/hec.1036

    authors: Schut FT,Van de Ven WP

    更新日期:2005-09-01 00:00:00

  • The effect of health changes and long-term health on the work activity of older Canadians.

    abstract::Using longitudinal data from the Canadian National Population Health Survey (NPHS), we study the relationship between health and employment among older Canadians. We focus on two issues: (1) the possible problems with self-reported health, including endogeneity and measurement error, and (2) the relative importance of...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.1051

    authors: Au DW,Crossley TF,Schellhorn M

    更新日期:2005-10-01 00:00:00

  • High School Physical Education Requirements and Youth Body Weight: New Evidence from the YRBS.

    abstract::Previous research has found that high school physical education (PE) requirements are largely ineffective at reducing youth body weight. However, these studies were forced to rely on cross-state variation in PE requirements to identify their impacts, raising concerns that estimated policy effects may be confounded by ...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3399

    authors: Sabia JJ,Nguyen TT,Rosenberg O

    更新日期:2017-10-01 00:00:00

  • Dynamic Transmission Economic Evaluation of Infectious Disease Interventions in Low- and Middle-Income Countries: A Systematic Literature Review.

    abstract::Economic evaluation using dynamic transmission models is important for capturing the indirect effects of infectious disease interventions. We examine the use of these methods in low- and middle-income countries, where infectious diseases constitute a major burden. This review is comprised of two parts: (1) a summary o...

    journal_title:Health economics

    pub_type: 杂志文章,评审

    doi:10.1002/hec.3303

    authors: Drake TL,Devine A,Yeung S,Day NP,White LJ,Lubell Y

    更新日期:2016-02-01 00:00:00

  • Do Capitation-based Reimbursement Systems Underfund Tertiary Healthcare Providers? Evidence from New Zealand.

    abstract::One of the main concerns about capitation-based reimbursement systems is that tertiary institutions may be underfunded due to insufficient reimbursements of more complicated cases. We test this hypothesis with a data set from New Zealand that, in 2003, introduced a capitation system where public healthcare provider fu...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3478

    authors: Shin S,Schumacher C,Feess E

    更新日期:2017-12-01 00:00:00

  • Research decisions in the face of heterogeneity: what can a new study tell us?

    abstract::Willan and Eckermann describe a method for dealing with heterogeneity in value of information (VOI) calculations for prioritising and designing new research. Their article raises three fundamental (inter-related) issues for VOI methods: (1) how to make sense of the concept of uncertainty in a cost-effectiveness analys...

    journal_title:Health economics

    pub_type: 评论,杂志文章

    doi:10.1002/hec.1797

    authors: Welton N,Ades AE

    更新日期:2012-10-01 00:00:00

  • Adaptation to health states: Sick yet better off?

    abstract::Healthcare funding decisions in the UK rely on health state valuations of the general public. However, it has been shown that there is disparity between the valuation of the impact of hypothetical conditions on health and the reported health by those experiencing them. Patients' adaptation to health states is among th...

    journal_title:Health economics

    pub_type: 杂志文章

    doi:10.1002/hec.3509

    authors: Cubí-Mollá P,Jofre-Bonet M,Serra-Sastre V

    更新日期:2017-12-01 00:00:00